David R Ham
ExpiredIllinois license 045001786
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001786
- Status
- Expired (Not Renewed)
- First issued
- August 22, 1989
- Expired
- January 1, 1998
- License holder
- David R Ham
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Contact
Belleville, IL 62221
Saint Clair County